Perbandingan Kejadian Missing String IUD CUT 380A Pascasalin antara yang Dipasang Menggunakan R_Inserter dengan yang Dipasang Menggunakan Klem Cincin (Evaluasi 13-24 Bulan)

https://doi.org/10.22146/jkr.36513

Silvy Kusuma Dewi(1*), Risanto Siswosudarmo(2), Muhammad Lutfi(3)

(1) Departemen Obstetri dan Ginekologi, FKKMK UGM
(2) Departemen Obstetri dan Ginekologi, FKKMK UGM
(3) Departemen Obstetri dan Ginekologi, FKKMK UGM
(*) Corresponding Author

Abstract


Background: One of the main complaint of IUD client was missing string. The main cause of missing string was folded string into the cervical canal. The incidence of translocation in case of missing string was 0 – 5%.

Objective: To compare the incidence of missing strings IUD CuT 380A inserted by R_inserter compared to ring forceps during postpartum period in addition to compare incidence of malposition, cumulative expulsion, the continuation of IUD, pregnancy and menstrual complaints

Method: The study was conducted in Sardjito Hospital Yogyakarta. The subjects were divided into two groups, of exposed group (inserted postpartum IUD using R_inserter) and control group (inserted postpartum IUD by using ring forceps). Follow-up was performed in the period of 13-24 months postpartum. Data was analized with Chi-square test and relative risk for comparing two proportions.

Result and Discussion: A total of 178 study subjects consisted of 91 subjects inserted with R_inserter and 87 subjects with a ring forceps. The incidence of missing strings in R_inserter was lower than ring forceps group, 1.2% vs. 3.6% (RR 0.33; 95% CI 0.36-3.18). There was only one subject IUD malposition from ring forceps group. The incidence of expulsion cumulative in the R_inserter was higher than ring forceps, 6.0% vs 4.1% (RR 1.47; 95% CI 0.43-5.05). The continuation rate of IUD in R_inserter and ring forceps groups was 83% and 85.7% (RR 0.97; 95% CI 0.86-1.09) and no incidence of pregnancy. Number of menstrual complaints on R_inserter were lower than the ring forcep 2.4% vs. 3.6% (RR 0.66%; 95% CI 0.11-3.83).

Conclusions: There was no difference in the incidence of missing strings, malposition, expulsion, continuity and menstrual complaints between IUD CuT 380A inserted by R_inserter and ring forceps during the postpartum period.

Keywords: postpartum IUD, R_inserter, ring forceps, missing strings, malposition.


Keywords


postpartum IUD; R_inserter; ring forceps; missing strings; malposition; IUD pascasalin; klem cincin

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References

Haub C & Kaneda T. 2014. World Population Data Sheet. Population Reference Bureau. BPS. 2016. Persentase Penduduk Miskin Maret 2016. Available at: http://www.bps.go.id/brs/view/ id/1229. SDKI. 2013. Survei Demografi dan Kesehatan Indonesia 2012. Jakarta: Kementerian Kesehatan RI. Primadi O, Hardhana B, Budijanto D, Sitohang V, Soenardi TA. 2013. Profil Kesehatan Indonesia 2012 P. Kementerian Kesehatan RI. Vasquez P & Schreiber C. 2010. The missing IUD. Contraception; 82(2): 126–128. Prabhakaran S & Chuang A. 2011. In-office Retrieval of Intrauterine Contraceptive Devices with Missing Strings. Contraception; 83(2): 102–6. Available at: http://www.ncbi.nlm.nih. gov/pubmed/21237334 [Accessed November 6, 2016]. Eroǧlu K, Akkuzu G, Vural G, Dilbaz B, Akin A, Taskin L, Haberal A. 2006. Comparison of Efficacy and Complications of IUD insertion in Immediate Postplacental, Early Postpartum Period with Interval Period: 1 Year Follow-up. Contraception; 74(5): 376–381. Siswosudarmo R, Kurniawan K, Suwartono H, 2014. The Use of New Inserter (R_Inserter) for Delivering CuT 380 A IUD during Postpartum Period Phase II Clinical Trial. Kesehatan Reproduksi; 1(3): 189–195. Siswosudarmo R. 2011. Uji Coba IUD Pascasalin: Kemudahan dan Efek Samping. O’Hanley K & Huber D. 1992. Postpartum IUD: Key for Success. Contraception; 45: 351–361. Available at: http://www.ncbi.nlm.nih.gov/ pubmed/ 1516367 [Accessed November 6, 2016]. Siswosudarmo R, Nugraha N, Kurniawan C, Erlina Y, Ikarumi D. 2015. Comparison of The Safety and Effectiveness of the CuT 380A IUD Inserted by The New Inserter (R_Inserter) and Ring Forceps during Postpartum Period, Twelve Months Follow up a Randomized Clinical Trial. Universitas Gadjah Mada. Stacey D., 2016. What to Do If You Can’t Feel IUD Strings. erywell. Available at: https:// www.verywell. com/iud-strings-missing-906756 [Accessed January 7, 2017]. Yen S, Saah T, Adams Hillard PJ. 2010. IUDs and Adolescents An Under-Utilized Opportunity for Pregnancy Prevention. Journal of Pediatric and Adolescent Gynecology: 23(3); 123–128. Maluchuru S, Aruna V, Prabhavathi N. 2015. Post Partum – Intrauterine Device Insertion – 2yr Experience at a Tertiary Care Center in Guntur Medical College/Govt. General Hospital, Guntur. IOSR Journal of Dental and Medical Sciences Ver. IV; 14(3): 2279–861. Available at: www.iosrjournals. org. Marchi N, Castro S, Hidalgo M, Hidalgo C, Dantas C, Villarroeal M, Bahamondes L. 2012. Management of Missing Strings in Users of Intrauterine Contraceptives. Contraception, 86(4), pp.354–358. Atkinson AL & Baum JD. 2014. Missing IUD Despite Threads at the Cervix. Case Reports in Obstetrics and Gynecology; 916143. Braaten KP, Benson CB, Maurer R, Goldberg AB. 2011. Malpositioned Intrauterine Contraceptive Devices: risk factors, outcomes, and future pregnancies. Obstetrics and Gynecology; 118(5): 1014–1020. Xu JX, Reusche C, Burdan A. 1994. Immediate Postplacental Insertion of The Intrauterine Device: a Review of Chinese and The World’s Experiences. Advances in Contraception: The Official Journal of The Society for The Advancement of Contraception; 10(1): 71–82. Deans E.I. & Grimes, D.A., 2009. Intrauterine devices for adolescents: a systematic review. Contraception, 79(6), pp.418–423. Kapp N & Curtis KM. 2009. Intrauterine Device Insertion during the Postpartum Period: a systematic review. Contraception; 80(4): 327–336. Xu J, Yang X, Gu X, Xu S, Zhou X, Chen Y, Xiao Z, Zhuang L. 1999. Comparison between Two Techniques Used in Immediate Postplacental Insertion of TCu 380A Intrauterine Device: 36-month Follow-up. Reproduction and Contraception; 10(3): 156– 62. Available at: http://www.ncbi.nlm.nih.gov/ pubmed /12349462 [Accessed November 12, 2016]. Zhou SW & Chi IC. 1991. Immediate Postpartum IUD Insertions in a Chinese Hospital - A Two Year Follow-up. International Journal of Gynecology and Obstetrics; 35(2): 157–164. Shukla M, Qureshi S, Chandrawati. 2012. Postplacental Intrauterine Device Insertion - A five Year Experience at a Tertiary Care Centre in North India. Indian Journal of Medical Research; 136: 432–435. WHO. 2002. Selected practice recommendations for contraceptive use. WHO. Available at: http:// www.who.int/entity/reproductivehealth/family_ planning/9241562846 index/en/index.html. Hubacher D, Chen P, Park, S. 2009. Side Effects from The Copper IUD: Do They Decrease Over Time? Contraception; 79(5): 356–362.



DOI: https://doi.org/10.22146/jkr.36513

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